NPI 1356843379

Fatia a Russell

Practitioner Prosthetist Fayetteville, NC

Practice location

Address: 6245 Lakehaven Dr, Fayetteville, NC 28304-0610
Phone: (910) 479-6214

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 108796 (NC)

Other Prosthetist providers in North Carolina →

Registry record

NPI: 1356843379
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2018
Record last updated: 31 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.